DR. DALLAS SHONE MD
NPI 1043213101
Internal Medicine - Gastroenterology in Kingsport, TN

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
105 W STONE DR, STE 4C, KINGSPORT, TN 37660(423) 578-1595(423) 392-6624 Get Directions Write a Review

NPPES record last updated: January 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dallas Shone Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DALLAS SHONE MD (NPI 1043213101) is an individual gastroenterology provider in Kingsport, Tennessee, licensed in Tennessee (MD25581) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1043213101
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DALLAS SHONECredential: MD
Location Address105 W STONE DR, STE 4CKingsport, TN 37660-3256
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066 · Fax (423) 857-2070
Fax(423) 392-6624
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMay 23, 2005
Last NPPES UpdateJanuary 7, 2014
NPI 1043213101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in TN · MD25581 Licensed in VA · 0101051162
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
105 W STONE DR, Kingsport, TN 37660

Other Identifiers 11

Medicare UPIN3700592TN
Medicare PIN0281780001TN
Medicare PINCC0450TN
Medicaid006011527VA
Medicaid3084190TN
Medicare UPINF13414
Medicaid6011527VA
Medicare PIN100009012TN
Medicare UPIN103I086169TN
Medicaid1513713TN
Medicare PIN0281780003TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Dallas Shone Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183708647
PECOS Enrollment IDI20100818000362, I20140224002011
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
559 services239 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
294 services204 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
139 services139 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
127 services126 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
107 services107 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
63 services63 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Surgery
105 W STONE DR, STE 4A
KINGSPORT, TN 37660
Obstetrics & Gynecology
105 W STONE DR, STE 2B
KINGSPORT, TN 37660
Durable Medical Equipment & Medical Supplies
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Family Medicine
105 W STONE DR, STE 1F
KINGSPORT, TN 37660
Physical Therapist
105 W STONE DR, STE 1D
KINGSPORT, TN 37660
Orthopaedic Surgery
105 W STONE DR, STE 4B
KINGSPORT, TN 37660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dallas Shone's NPI number?

The NPI number for Dallas Shone is 1043213101. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Dallas Shone located?

Dallas Shone practices at 105 W Stone Dr Ste 4C, Kingsport, TN 37660. The listed phone number is (423) 578-1595.

What is Dallas Shone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Dallas Shone enrolled in Medicare?

Yes. Dallas Shone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dallas Shone accept?

Health plans from BlueCross BlueShield of Tennessee list Dallas Shone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dallas Shone affiliated with any hospitals?

According to CMS data, Dallas Shone is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center and Indian Path Community Hospital.

When was this NPI record last updated?

The NPPES record for Dallas Shone was last updated on January 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.